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Home My WebLink About1710 VALLEY PL; ; CB940819; Permita): /fa B U I L D I N G P E R M I T 07/07/94 1 3 :11 Permit No: CB940819 Project No: A9401152 Development No: Page 1 of 1 ~ 1 Job Address: 1710VALLEY~f' Suite: Permit Type: PLUMBING 7683 07/07/94 0001 01 02 Parcel No: Lot#: C-PRHT 27-00 Valuatio n: 0 Construction Type: NEW Occupancy Group : Reference#: Status: ISSUED Applied: 07/07/94 Apr/Issue: 07/07/94 Entered By: MDP Description: REPLACE GAS LINE Appl/Ownr : WILLIAMS, ANGELINE 1400 46TH STREET SACRAMENTO, CA. 95819 *** Fees Required Fees: Adjustments: Total Fees : Fee description *** 27.00 ,00 27.00 *** Ente r "Y" for Plumbing I$SUe Fee > Gas Piping Sys tem > * PLUMBING TOTAL 619 438-8652 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 27 .00 *** Unit s Fee/Unit Ext fee Data 7.00 20.00 Y 7.00 27.00 _ :fJ_AlAPPROVAL i;~SH. DATE j/4/ri f v ... EARANCE _____ J CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q City of Carlsbad Building Departlll!flt 2075 Las Pal.as Dr., carlsbad, CA 92009 (619) 438-1161 ESf.VAL. __________ _ I. PERMi'I 1YPE PLAN CK DEPOSIT _______ _ VAUD.BY, __________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address J-vo Nearest Cross Str~t Building or Suite No. nit 0. CHECK B£115W IF sOBMI 11 ED: □ 2 Energy ca Jes □ 2 Structural calcs □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCR1PTION OF WORK v> r;/,,. ce s tt) I { ~ SQ. IT. f,.__erz # OF STORIES # OF BEDROOMS # OF BATI-IROOMS 3. WN IACI PERSON (at dmerent from apphcant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICAN'I O CONI RAC IOR LI AGEN I FOR CON I RAC IOR ADDRESS 0 OWNER LI AGEN I FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE d,V\A5 ADDRESS 14-t9t) ZIP CODE q IT( '1 DAY TELEPHONE 6. OON'I m [ ( .. r NAME (last name firstCv, {t'\t:it I,,._ ...) € "Y\ ADDRESS ?-ffl- CITY STATE ZIP CODE DAY TELEPHONE ~~.J f STATE UC. #6r-{s1o LICENSE CLASS B--1 CITY BUSINESS UC. # ast name 1rst t. ~1i~'l,~sAl10N STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensauon beclarauon: I hereby alhrm that I have a ceruhcate of consent co sell-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certalacate of Exempuon: I ceruly that in the performance of the work for which this permit as issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of califomia. SIGNATURE DATE 8. OWNEll-BUllm:lt oECLAltAliON Owner-Builder Declaration: I hereby alftrm that I am exempt from the Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of plllDf'r:qr wile-builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commenc· g with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom d the basis for the alle xemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a ci • natty of more th hundred dollars ($500]). SIGNATURE ~ -7 -q I- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa::uPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLFSS 11-IE APPUCANT HAS MET OR IS MEETING 11-IE REQUIREMENTS OF 11-IE OFFICE OF EMERGENCY SERVICF.S AND nm AIR POU.UTION CDNTROL DISIRICT. 9. OONS'i R0Cl1ON L£NDING AGENCY I hereby affirm iliac there as a construcuon lending agency for ilie performance of ilie work for which this permit 1s issued (Sec 3097{1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS Io. APPUCAN I CERnFICAIION I ceruty iliac I have read ilie applacauon and state that ilie above mlormanon 1s correct. I agree to comply wllh all C1ty ordinances and Stale laws relating to building construction. I hereby authorize representatives of the City of carlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm Cl1Y OF CARISBAD AGAINST AIL IJABILITIF.S, JUDGMENTS, CDSTS AND EXPENSE.5 Wl-llCH MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF nm GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.